Osmoregulation and Excretion in Humans part 2 Flashcards

1
Q

Normal conditions

A
  • 1,600 L of blood flows through a pair of human kidneys each day, yielding about 180 L of initial filtrate
  • Both the volume and composition of the filtrate are changed dramatically as processing occurs
  • About 99% of the water and nearly all of the sugars, amino acids, vitamins, and other organic nutrients are reabsorbed
  • Leaves about 1.5 L of urine to be transported to bladder
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2
Q

Osmosis direction

A

-Water diffuses from where ITS concentration is HIGH (dilute solute) to where ITS concentration is low (concentrated solute)

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3
Q

Osmolarity (osmotic concentration)

A
  • The measure of solute concentration
  • The number of osmoles of solute per liter of solution
  • In the kidneys, we’re looking at concentrations of Na+ and Cl- as solutes
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4
Q

Goals of the kidneys

A
  • Removing metabolic wastes/toxins

- Osmoregulation - salt and water balance

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5
Q

Initial filtration

A

Occurs at the filtration membrane

non-specific

Filtration occurs at filtration slits

anything small enough to fit between slits enters the nephron (glucose, amino acids, vitamins, and toxins)

-Cells and large proteins are trapped in capillaries

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6
Q

With normal kidney function, which is present in plasma but not in filtrate

A

Proteins and blood cells

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7
Q

What is the descending limb permeable to

A

Only water

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8
Q

What is the ascending limb permeable to

A

Only Na+ and Cl-

May leave nephron by passive or active transport

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9
Q

What does the movement of salts out of the ascending limb create?

A

The solute gradients

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10
Q

Proximal convoluted tubule (PCT)

A

-Closely associated with peritubular capillaries bed

Function:

  • Passive and active transport (need energy for active)
  • Reabsorption of water, ions, glucose, and amino acids into capillaries (co-transport with Na+)
  • Secretion of nitrogenous wastes and toxins (ex. aspirin, morphine)

(Numbers in nephron indicate the osmolarity (amount of solute) in the filtrate)

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11
Q
Nephron loop (Loop of Henle) 
Main function
A
  • Major function is to use active transport to move Na+ and Cl- into the kidney medulla
  • Associated with vasa recta capillary bed
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12
Q

Nephron Loop (descending limb)

A
  • Descending limb is only permeable to water
  • Osmolarity of medulla increase moving away from cortex
  • Water moves via osmosis through aquaporins and is reabsorbed into the blood concentrating the filtrate in nephron
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13
Q

Nephron Loop (ascending limb)

A
  • Ascending limb is only permeable to ions (primarily Na+ and Cl-)
  • In thin segment NaCl, which had become concentrated in descending limb, diffuses out of nephron (helps maintain high osmotic concentration)
  • In thick segment, NaCl is actively transported out and filtrate becomes more dilute
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14
Q

Distal convoluted tubule (DCT)

A
  • Reabsorption of water is influenced by hormones
  • Secretion of any extra wastes
  • Important site of proton (H+) absorption or secretion
  • Works with respiratory system to balance pH
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15
Q

Carbon Dioxide transport

A
  • Dissolved in blood plasma (~10%)
  • Bound to hemoglobin (~20%)
  • In the form of plasma bicarbonate (~70%)
  • In many respects, [CO2] more important in determining respiratory rate
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16
Q

Homeostatic response

A

Include coordination between respiratory efferent pathways and urinary secretion/reabsorption of proteins

17
Q

What happens if there is a problem with the DCT that prevents the secretion/absorption of protons (H+)

A

It can lead to metabolic acidosis or metabolic alkalosis

Associated with bicarbonate excess or deficiency

18
Q

Metabolic acidosis

A

Too many protons

19
Q

Metabolic alkalosis

A

Too few protons

20
Q

What is the concentration of carbonic acid in the blood dependent on

A

The level of CO2 in the body and the amount of CO2 gas exhaled through the lungs

21
Q

Carbonic acid lost and formed regarding CO2

A

A molecule of carbonic acid is lost for every molecule of CO2 exhaled, and a molecule of carbonic acid is formed for every molecule of CO2 retained

(The respiratory contribution to acid-base balance is usually discussed in terms of CO2 rather than of carbonic acid)

22
Q

Respiratory acidosis

A

CO2 excess

Can result from anything that interferes with respiration, such as pneumonia, emphysema, or congestive heart failure

23
Q

Respiratory alkalosis

A

CO2 deficiency

Occurs when too much CO2 is exhaled from the lungs, as occurs in hyperventilation

24
Q

Hypercapnia

A

Too much carbon dioxide, increase in protons, decreases pH

Results in acidosis (acidic blood)

25
Q

Hypocapnia

A

Too little carbon dioxide, decrease in protons, raises pH

Results in alkalosis (basic blood)

26
Q

Water conservation in the collecting duct

A

Main function: absorb more water

Relies on the solute gradient that was created by the nephron loop (osmosis drive water to be reabsorbed from the duct)

Influenced by hormones

27
Q

Steps in the kidney

A

1: Initial filtration
2: Reabsorption/Secretion at the PCT
3: “Salty” medulla in the Nephron Loop
4: Reabsorption/Secretion at the DCT
5: Water conservation in the collecting duct